WILLIAM JACOB DIVETT (NPI# 1588912893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588912893 |
| Entity Type | Individual |
| Full Name | WILLIAM JACOB DIVETT |
| Credential | LISW |
| Practice Address |
1515 W Fir St Portales NM 88130-5703 |
| Mailing Address |
Po Box 843 Portales NM 88130-0843 |
| Practice Telephone | 5753566695 |
| Practice Fax Number | 5753565948 |
| Mailing Telephone | 5753566695 |
| Mailing Fax Number | 5753565948 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | I08039 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1515 W FIR ST |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756264 | Guadalupe M Kennedy | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2005-11-02 |
| 1033771647 | Lee Le | Dentist | 1515 W Fir St, Portales, NM 88130-5703 | 2019-07-03 |
| 1366918963 | Jonathan Redd | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2018-10-22 |
| 1386000636 | Michelle Lynn Hawkins | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2015-12-31 |
| 1588048524 | La Casa De Buena Salud Inc | Local Education Agency (LEA) | 1515 W Fir St, Portales, NM 88130-5703 | 2015-07-18 |
| 1124422597 | Teresa Claire Evan | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2014-10-14 |
| 1649535527 | Bhargav Chowdary Paleti | Internal Medicine | 1515 W Fir St, Portales, NM 88130 | 2012-07-07 |
| 1023380615 | Katherine M Thatcher | Nurse Practitioner | 1515 W Fir St, Portales, NM 88130-5703 | 2012-01-30 |
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1871693044 | Penny G Sanders | Counselor | 1515 W Fir St, Portales, NM 88130-5703 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172565 | Bernadine Garcia Cordova | Social Worker | 501 S Abilene Ave, Portales, NM 88130-6380 | 2020-07-27 |
| 1235281478 | Renae F Hipp | Social Worker | 501 S Abilene Ave, Portales, NM 88130-6380 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774187 | Daniella Montoya | Social Worker | 869 Nm Highway 3, Ribera, NM 87560-9004 | 2020-09-10 |
| 1346855921 | Felicia Rosario Martinez | Social Worker | 211 County Road A6, Sapello, NM 87745-5031 | 2020-09-10 |
| 1952913378 | Teresa Lucia Samaniego | Social Worker | 755 S Telshor Blvd Ste 203, Las Cruces, NM 88011-4688 | 2020-08-18 |
| 1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
| 1114535192 | Troy Stephen Weeldreyer | Social Worker | 45 Pinsbaari Dr, Acoma, NM 87034 | 2020-07-16 |
| 1962020180 | Beatrice Tucker | Social Worker | 220 E Nizhoni Blvd Apt 10, Gallup, NM 87301-7111 | 2020-07-14 |
| 1467079863 | Jade Brown | Social Worker | 2517 Panorama Dr, Silver City, NM 88061-5834 | 2020-07-01 |
| 1730705773 | Virginia Garcia | Social Worker | 412 Asbury Rd Ne, Rio Rancho, NM 87124-5627 | 2020-06-24 |
| 1437778107 | Richelle Casey Hufnagel | Social Worker | 1500 N Silver St, Truth Or Consequences, NM 87901-1966 | 2020-04-13 |
| 1922635721 | Wendy Ludlow | Social Worker | 1033 Agua Fria St, Santa Fe, NM 87501-2433 | 2020-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.